MVU NURS 629 EXAM 4 WITH COMPLETE SOLUTION LATEST UPDATE(A+ exam)

MVU NURS 629 EXAM 4 WITH COMPLETE SOLUTION LATEST UPDATE(A+ exam) Clinical manifestation of physiological jaundice - CORERECT ANSWER *Usually within first 2-4 days of life *Not lasting longer than first 2 weeks of onset *Due to fast breakdown of RSCs *Liver immature and poor dietary intake. Clinical manifestation of breast fed jaundice - CORERECT ANSWER *Usually within first few weeks to month of life *Secondary to poor intake what to assess for Determining hydration status - CORERECT ANSWER *skin turgor *mucous membranes *peripheral pulses *tears *capillary filling Clinical s/s of dehydration - CORERECT ANSWER *sunken ant fontanel *tachycardia *decreased urinary output *decreased B/P What is the most common cause of acute stomach pain - CORERECT ANSWER gastroenteritis What is the most common complication in children with gastroenteritis? - CORERECT ANSWER dehydration What is the initial treatment in Osgood Schlatter disease - CORERECT ANSWER stretching Recommended treatment for a Sprained ankel - CORERECT ANSWER Ice, Elevation, NSAIDa (ice 20 mins off 30-45 mins for first 24-48 hrs) What type of X-ray is best for diagnosing Legg-Calve-Perth? - CORERECT ANSWER Frog leg How to perform Rovsing sign? - CORERECT ANSWER apply pressure to left lower abdomen What is considered a positive sign with Rovsing exam - CORERECT ANSWER pain in right side when pressure is released from left side What assessment would indicate an injury to the ACL or PCL? - CORERECT ANSWER a positive Ant/Post drawer sign Ideal glucose level for 4 yr old? - CORERECT ANSWER 90-130 What should be the initial evaluation of suspected growth hormone deficiency? - CORERECT ANSWER *Thyroid function *screen for hypoglycemia *possible GI illnesses Initial evaluation in cases of isolated menarche? - CORERECT ANSWER Sexual abuse should be ruled out first essentials for child's mental health? - CORERECT ANSWER *predictable home, childcare, school routine What is the most common type of seizure in a child? - CORERECT ANSWER Febrile seizure Unilateral, pulsating headache with occasional photophobia - CORERECT ANSWER migraine microcytic hypochromic anemia - CORERECT ANSWER iron deficiency anemia Most common causes of iron def anemia in child and infant - CORERECT ANSWER poor dietary intake and breast feeding risk factor for depression in child? - CORERECT ANSWER separation anxiety Comorbidities of depression? - CORERECT ANSWER anxiety, learning, conduct, and eating disorders Depression DX must have 1 of what 3 characteristics? - CORERECT ANSWER depressed mood, diminished interest, significant wt loss/gain, insomnia, fatigue, worthlessness, thoughts of death Most common somatic complaints of depression? - CORERECT ANSWER HA & stomachache What depression screening tool is used in ages 11 and up? - CORERECT ANSWER Pt Health Questionnaire Depression Screening (PHQ-9) Signs of PTSD in pre-school age children - CORERECT ANSWER extreme temper tantrums Clinical Manifestations of Slipped Capital femoral epiphysis - CORERECT ANSWER *Limping *knee or hip pain *pain worse with activity *loss of internal rotation, abduction, extension What should a child be instructed to do if Slipped capital femoral epiphysis is suspected - CORERECT ANSWER Keep Non-Wt bearing until surgical consult What is the most common type of scoliosis? - CORERECT ANSWER Idiopathic (multi-gene dominant no clear cause) First drug of choice in children with UTI - CORERECT ANSWER Bactrim then Augmentin •number 1 cause of acute abdominal pain - CORERECT ANSWER gastroenteritis Symptoms of appendicitis - CORERECT ANSWER *periumbilical pain that moves to the RLQ. *Aggravated by movement or coughing. *vomiting *elevated WBCs What may commonly be found on exam with hyperthyroidism - CORERECT ANSWER Goiter Most common organism in UTI in children - CORERECT ANSWER E Coli Red flags for Sensory Processing Disorder in adolescents? - CORERECT ANSWER *Overly sensitive to touch, noise, smell, people *Poor self-esteem *Afraid of failing new tasks *lethargic/slow, clumsy *impulsive *distractable Signs of normal cognition development in toddlers? - CORERECT ANSWER • Emerging empathy • Understanding social rules • Constructing narratives • Reciprocity in play